Student Enrollment Form National Junior Tennis & Learning (NJTL) Program Enrollment FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Name *FirstLastAge *Grade *— Select Grade —Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCurrent grade or grade for the upcoming academic school year.AllergiesProgram InfoProgram Site: Select all program site(s) that you are interested in. *The Exploris SchoolSalvation ArmyNeuse River Middle SchoolRaleigh Police DepartmentPurpose Learning LabRaleigh Boys ClubKentwood Learning CenterSoutheast Raleigh YMCAThe Expedition SchoolBrentwood Boys and Girls ClubMayview Learning CenterDurham AcademyOtherOther Program SiteEnter name of program site if not listed.Contact InformationParent/Guardian Name *FirstLastAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneEmail * Select (of to Acknowledgment:I acknowledge that LTS’s NJTL programming may involve the use of program-arranged transportation to and from a nearby tennis facility. I understand that the program is not responsible for any delays or incidents that may occus during transport. I also understand that participation in LTS’s NJTL program involves physical activity that may result in injury. I release LTS, the contracted transportation provider, LTS staff, and volunteers from any liability, claims or demands that may arise from my child’s participation in the program, including but not limited to injury during training sessions, games, or transportation. I understand the risks involved and accept them on behalf of my student. I am also approving my student’s participation in periodic participation surveys that support LTS’s funding to implement its programs. *I understand and agree to the terms outlined aboveFull Name (of person completing the form) *Your relation to the student (e.g. parent, guardian, etc.) *Submit